Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Russell Martin Carlson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1023271137

Dr. Russell Martin Carlson, DPM is a Podiatry in Moline, Illinois. Qualified in 2008, 18 years ago. Practices with Preferred Podiatry Group PC, a 129-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

520 Valley View Dr
Moline, IL 61265-6152
Phone: (309) 762-3621
Fax: (309) 762-3690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 135000650 (IL)

Record details

NPI number1023271137
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESMay 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Preferred Podiatry Group Pc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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